BD Tacoma I, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH1298 Issued in WA

Legal business name

BD TACOMA I, LLC

Doing business as

Park Rose Care Center

Practice address

3919 S 19TH St
Tacoma, WA 98405-1414

Phone

(253) 752-5677

Fax

(253) 756-8936

NPI assigned

Sep 20, 2006

Last updated

May 15, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Doug Devore

Title

Field Accountant

Phone

(425) 392-4066

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PARK ROSE CARE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316045537. Details of each certification follow.

• CCN 505239 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 505239

Legal name

BD TACOMA I, LLC

Doing business as

PARK ROSE CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 30, 1976

Last certification

Sep 18, 2024

Beds

139

Ownership / control type

Corporation

Multi-facility organization

Regency Pacific Management

Most recent change of ownership

Apr 1, 2010

Organization structure

LLCProprietary

Enrollment address

3919 S 19TH St
Tacoma, WA 98405-1414

Nursing home name

PARK ROSE CARE CENTER

Affiliated entity

REGENCY PACIFIC MANAGEMENT

Listed as

Park Rose Care CenterCCN 505239 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Apr 30, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

13998.2 residents per day on average

Chain

Regency Pacific Management27 facilities in the chain

Penalties (3 years)

2Fines totaling $241,815

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Carla Nicole Amadei Gatti, MD

  • Adult Medicine Physician
  • Tacoma, WA
  • NPI 1053168708

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 20

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• BD College Place I, LLC

  dba Regency at the Park

  • Skilled Nursing Facility
  • College Place, WA
  • NPI 1356383202

  Regency Pacific Management LLC

  CMS ownership
• BD Monroe I LLC

  dba Regency Care Center at Monroe

  • Skilled Nursing Facility
  • Monroe, WA
  • NPI 1043257421

  Regency Pacific Management LLC

  CMS ownership
• BD Olympia I, LLC

  dba Olympia Manor

  • Skilled Nursing Facility
  • Olympia, WA
  • NPI 1093813214

  BD Facilities LLC, Regency Pacific Management LLC

  CMS ownership
• BD Yakima I, LLC

  dba Good Samaritan Health Care Center

  • Skilled Nursing Facility
  • Yakima, WA
  • NPI 1396783809

  BD Facilities LLC

  CMS ownership
• MBB Brewster LLC

  dba Regency Harmony House Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • Brewster, WA
  • NPI 1720060908

  Regency Pacific Management LLC

  CMS ownership
• MBB Kennewick LLC

  dba Regency Kennewick Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • Kennewick, WA
  • NPI 1144210162

  Regency Pacific Management LLC

  CMS ownership
• Regency Coupeville, LLC

  dba Regency Coupeville

  • Skilled Nursing Facility
  • Coupeville, WA
  • NPI 1508864935

  Regency Pacific Management LLC

  CMS ownership
• Regency Omak LLC

  dba Regency Omak

  • Skilled Nursing Facility
  • Omak, WA
  • NPI 1306869722

  Regency Pacific Management LLC

  CMS ownership
• Regency Wenatchee LLC

  dba Regency Wenatchee Rehabiliation and Nursing Center

  • Skilled Nursing Facility
  • Wenatchee, WA
  • NPI 1215966312

  Regency Pacific Management LLC

  CMS ownership
• BD Bend II LLC

  dba Pilot Butte Rehabilitation Center

  • Skilled Nursing Facility
  • Bend, OR
  • NPI 1831317726

  BD Facilities LLC, Regency Pacific Management LLC

  CMS ownership
• BD Bend III LLC

  dba Cascade View Nursing Center

  • Skilled Nursing Facility
  • Bend, OR
  • NPI 1558580993

  BD Facilities LLC, Regency Pacific Management LLC

  CMS ownership
• BD Grants Pass I LLC

  dba Regency Care of Rogue Valley

  • Skilled Nursing Facility
  • Grants Pass, OR
  • NPI 1386863769

  BD Facilities LLC, Regency Pacific Management LLC

  CMS ownership

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sabrina Ann Benjamin, MD

  • Internal Medicine Physician
  • Olympia, WA
  • NPI 1447280334
  NPD (past)
• Beyene Tewelde Gebreselassie, MD

  • Internal Medicine Physician
  • Tacoma, WA
  • NPI 1720723687
  NPD (past)
• Lucas Marian Kogut, MD

  • Family Medicine Physician
  • Bremerton, WA
  • NPI 1225753684
  NPD (past)
• Wendwesen Kassa Lemma, MD

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1952183592
  NPD (past)
• Neriza Gomez Mercado, MD

  • General Practice Physician
  • Tacoma, WA
  • NPI 1285314179
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Beyene Tewelde Gebreselassie, MD

  • Internal Medicine Physician
  • Tacoma, WA
  • NPI 1720723687

  Nursing home

  Care Compare affiliation
• Neriza Gomez Mercado, MD

  • General Practice Physician
  • Tacoma, WA
  • NPI 1285314179

  Nursing home

  Care Compare affiliation
• Charles K Minn, M.D.

  • Nephrology Physician
  • Tacoma, WA
  • NPI 1508119736

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1316045537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 160TH AVE SE",
            "address_2": "SUITE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980086418",
            "telephone_number": "425-392-4066",
            "fax_number": "425-623-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051414",
            "telephone_number": "253-752-5677",
            "fax_number": "253-756-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BD TACOMA I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "FIELD ACCOUNTANT",
        "authorized_official_telephone_number": "425-392-4066"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH1298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4114245",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4112983",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK ROSE CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jennifer Beals, MA, LMHC

• Skilled Nursing Facility in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.